Dental Xray Image Can Show Carotid Artery Calcification

Dental panoramic xray images are taken to show the entire dental arch and the surrounding bone structure around the region.  It can show the sinus, jaw bone, and the nerve canals.  Sometimes, any abnormality can also be detected.  It is especially good at detecting any calcification in the soft tissue area, for example in the carotid artery around the head and neck area.  The calcification will appear as the white patch on one or both side of the neck area.

Many times these blockage goes undetected because patient does not feel any symptoms.  However, if the blockage is not treated, risk of stroke might occur.

 

Written by Daniel Tee, DDS, MS

Practicing Family Dentist Serving the city of Tempe, Chandler, Phoenix, Gilbert, and Mesa in Arizona.

Common Reasons for Discomfort After New Fillings Are Placed.

<<  Topic in General Dentist in Tempe AZ >>

Dental Fillings is a basic dental procedure performed by dentist on the tooth to remove any decay and repair the cavity.  It is common to feel some discomfort after the new filling is placed and there are variety of reasons why this occurs.

The most common reasons of post-op discomfort is due to the high bite.  This occurs usually after the anesthetics wear off.  At the dental office, dentist would check the filling and tooth for any high bite by asking patient to bite on a marking paper.  The marking paper would leave indicative marking on the tooth which shows the high bite area.  The Dentist would also ask how the patient would feel.  Because the patient’s tooth is still numb under local anesthesia, patient may not be able to tell accurately if there are any high bite spot on the filling.  Dentist would perform any adjustment as indicated by the marking paper and also asks the patient if he/she is feeling fine.  Usually the dentist would make sure the patient is feeling fine and all high spot adjusted, before patient leaves the dental office.  However, because patient is still numb, there might be some slight high bite on the filling which the patient cannot feel when he/she is still numb.  So when the numbness goes away as anesthetics wear off, the patient might feel the high bite and might feel some discomfort at chewing.  The patient is encouraged to contact the dentist and schedule an appointment for adjustment of the filling.  Almost always, the discomfort would go away after the adjustment is made.

Another reasons for the discomfort might be due to the patient’s sensitivity to the dental materials used in the filling procedure.  Usually this discomfort might take some time to recover.  Dentist would not be able to tell if the patient is sensitive to the dental materials only after the filling is placed on the tooth.  Fortunately this type of discomfort is short term and is recoverable.

There is another discomfort caused by the deep cavity.  When the cavity is large, there might be little isolation from the nerve pulp of the tooth to the filling material.  Because the filling material conducts heat, cold and pressure differently from the natural dentin, the nerve pulp might be more easily stimulated.  Dentist can place the base material under the filling for protection purpose but sometimes the discomfort might still occur.   This discomfort is the causal by the dental filling procedure.  It has to do with the cavity being very large.  Dentist can try to put some desensitizing agent on the tooth if the discomfort occurs after the filling procedure.  However, if the discomfort continues due to large cavity, the tooth might need to have root canal therapy to control the symptoms.

There are also chances that the tooth might have small micro cracks which are difficult to detect.  They too can cause discomfort to the tooth.

The best way to fix the problem is to see the dentist for finding out the cause of the discomfort and then perform any adjustments/treatment needed.

 

Written by Daniel Tee, DDS, MS

Practicing General Dentist Serving the city of Tempe, Chandler, Phoenix, Gilbert, and Mesa in Arizona.

Dental Office in Tempe AZ

 

New Digital Panoramic Xray Machine Installed In Our Dental Office

<<  Topic in General Dentistry Dental Office Dentist in Tempe AZ >>

Recently I have introduced a new full-featured digital panoramic xray machine into my dental office.  It gives off exceptional digital xray images enabling viewing of the entire dentition.  It takes the xray images in lesser time and in lesser radiation dosage.  It has the advanced image-reconstruction technology that enables recalculation of the x-ray data after the initial scanning is completed thus helps to minimize any retake.

I am using it for diagnosing and treatment planning for oral surgery procedures such as third molar extractions, and in the future implant placement surgery.  Also, the panoramic image allows me to view the general relationship of each teeth to each other within the same arch and also how the upper and lower teeth relates to each other.  It is a win-win situation for the dentist and the patients.  I as the dentist can better design treatment for the patient and the patient will receive the best dental care.

 

Digital Panoramic Xray Machine Closeup Digital Panoramic Xray Machine Digital Panoramic Xray Radiograph

 

 

Written by Daniel Tee, DDS, MS

Practicing General Dentist Serving the city of Tempe, Chandler, Phoenix, Gilbert, and Mesa in Arizona.

Dental Office in Tempe AZ

 

Severe Periodontal Disease Causes Bone Loss and Tooth Loss

<< General Dentistry Dental Office in Tempe AZ >>

Periodontal disease is a silent disease.  In the beginning and even in the moderate stage of the disease process, a person will often feel no symptoms.  Perhaps their gum will bleed when they brush.  If left untreated, the periodontal disease can cause serious dental problems such as persistent abscess in the gum and tooth loss.

The periodontal disease can be a slow disease progress.  However, often people will not notice it until at a much later stage.  The bacteria in periodontal disease causes erosion of the bone around the teeth.  Slowly over time, the teeth will become mobile and due to lack of the support from the surrounding bone, teeth may collapse and then tooth loss.

The following is the xray radiograph of a person having severe periodontal disease.

Severe Periodontal Bone Loss Dental

Severe Periodontal Disease causes severe bone loss

The radiograph image shows multiple teeth having black shadow around the root area.  The shadow can either be persistent infection due to bacteria and this leads to bone loss.  Clinically, multiple teeth have severe mobility because there is not enough bone to anchor each tooth.  The teeth appears to be very long because there is recession to the bone and the gum.  Some upper teeth has fallen down into the empty spaces.  The prognosis of his teeth are poor and eventually he would have to have all of this teeth extracted and get full dentures.

One way to help avoid periodontal disease is to have periodic dental checkup and cleaning.  Dentist will check if you have any periodontal disease and recommends periodontal treatment if needed.  Periodontal treatment is an on-going process and patient needs to work with the doctor to follow the oral hygiene instructions and commit to periodic recall treatment schedules.

 

Written by Daniel Tee, DDS, MS

Practicing General Dentist Serving the city of Tempe, Chandler, Phoenix, Gilbert, and Mesa in Arizona.

Dental Office in Tempe AZ

Sunflower Seeds Cause Tooth Chipped

<<  Topic in Cosmetic Dentist Dentistry Dental Office in Tempe AZ >>

I want to show a photo of a patient which I saw today.  She has two worn front teeth.  Upon examination, the incisal edge of the tooth shows unusual wear pattern.  The wear is due to the biting down on the sunflower seeds.  This type of wear is common for the Asians who love to eat the Sunflower seeds.  So here is the photograph of her teeth:

Chipped Teeth from biting down on the Sunflower seeds

Chipped Teeth from biting down on the Sunflower seeds

 

Notice the teeth also show crack line down the middle of the longitudinal axis of the tooth.  Options to restore the tooth includes bonding composite fillings, veneers and crowns.

 

Written by Daniel Tee, DDS, MS

Practicing Cosmetic Dentist Serving the city of Tempe, Chandler, Phoenix, Gilbert, and Mesa in Arizona.

Dental Office in Tempe AZ

 

Fluoride Rinse Helps Prevent Cavities

<<  Topic in General Dentist Dentistry Dental Office in Tempe AZ >>

Fluoride is a chemical ingredient common in toothpaste that has a special properties of strengthening the enamel of teeth.  In turn, this helps to prevent the cavity formation.  Often for patient who are more susceptible to cavity formation, I would recommend fluoride rinse to patients.  I would instruct the patient to use the rinse in addition to their dental hygiene routine.  Typically I instruct them to rinse with fluoride rinse after brushing their teeth and flossing.  Rinsing wth fluoride rinse for 30 seconds help the fluoride to distribute onto the surfaces of teeth.  After rinsing with fluoride rinse, I would tell patient to spit it out and do not rinse with water or drink water for at least half hour.  This allow the fluoride on the tooth to penetrate into the enamel.

However, over-ingestions of fluoride for children during their teeth development may cause fluorosis to their teeth.  So make sure that children do not swallow too much of those rinses or fluoride toothpaste.

Fluoride rinse can be purchased over-the-counter in drug stores.  One brand is ACT fluoride rinse manufactured by Johnson & Johnson.

 

Written by Daniel Tee, DDS, MS

Dental Office in Tempe AZ

Serving the city of Tempe, Chandler, Phoenix, Gilbert, and Mesa in Arizona. Practicing General Dentist